DEEPA SIRIGEERE PRABHAKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

DEEPA

Last Name

SIRIGEERE PRABHAKAR

Business Name

DEEPA SIRIGEERE PRABHAKAR MD

Original Issue Date

05/04/2015

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023